This trust offers the following services:

• Diagnostic and pre-operative services:
• On-site MRI liver facilities
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities

• Oncology services:
• On-site chemotherapy services
• On-site External Beam Radiotherapy services

• Support service facilities:
• Dedicated nurses for ERAS services

All Patients:	Trust	Network	National
Number of patients in Audit	282	852	30710
Case ascertainment (%)	100	101	95
Data completeness of:
– Pre-treatment TNM (%)	74	75	76
– Performance status (%)	93	93	83

Patients having major resection:	Trust	Network	National
Number of patients in Audit	173	566	19231
ASA grade 1 (%)	12	10	12
ASA grade 2 (%)	14	32	53
ASA grade 3 (%)	10	27	27
ASA grade 4+ (%)	N/A	2	3
ASA grade not recorded (%)	64	30	6
Data completeness of:
7 Audit items for risk-adjustment (%)	25	64	81

All Patients:	Trust	Network	National
Number of patients in Audit	282	852	30710
Seen by Clinical Nurse Specialist (%)	98	97	91

Patients having major resection:	Trust	Network	National
Number of patients in Audit	173	566	19231
Distant metastases (%)	10	8	9
Urgent or emergency surgery (%)	13	10	16
At least 12 lymph nodes excised (%)	80	81	84
Laparoscopic surgery attempted (%)	32	38	63
Risk-adjusted length of stay > 5 days (%)	86	80	69

Patients having major resection:	Trust	Network	National
Number of patients in Audit	31	124	4468
Neoadjuvant therapy (%)	60	46	35
Circumferential resection margin: Recorded (%)	32	38	26
Circumferential resection margin: Positive (%)	55	15	7
Rectal volume	N/A	N/A	N/A

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	N/A	N/A	N/A
APER/Hartmanns (%)	N/A	N/A	N/A